DR. KATIE KINASCHUK
Regenerative and Aesthetic Medicine
BSc. with Distinction, MD with Specialization in Research, CCFP
Dr. Katie Kinaschuk’s Regenerative Sports Medicine practice specializes in Platelet-Rich Plasma and Prolotherapy, two advanced, non-surgical treatments that harness the body’s natural healing abilities to address a range of musculoskeletal and pain-related issues. These therapies promote tissue repair, offering relief from both acute and chronic pain while improving mobility and function.
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Dr. Kinaschuk combines her expertise in ultrasound-guided procedures with personalized treatment plans to deliver effective, evidence-based care tailored to each patient’s unique needs, supporting optimal healing and enhanced quality of life.
PLATELET-RICH PLASMA
Indication: PRP therapy is used for musculoskeletal (MSK) conditions, including joint, tendon, and ligament injuries. It is particularly beneficial for patients with chronic pain, inflammation, or degeneration in areas such as the TMJ, spine, shoulder, elbow, wrist, knee, and ankle. Conditions like osteoarthritis, tendinitis, and ligament sprains respond well to PRP therapy.
Mechanism of Action: PRP is derived from your blood, which is processed to concentrate the platelets. Platelets contain growth factors that aid in tissue repair and healing. When injected into the affected area under ultrasound guidance, these growth factors stimulate the body's natural healing processes, promoting tissue regeneration and reducing inflammation.
PROLOTHERAPY (PROLO)
Indication: Prolotherapy is used for musculoskeletal (MSK) conditions, including joint, tendon, and ligament injuries. It is particularly beneficial for patients with chronic pain, inflammation, or degeneration in areas such as the TMJ, spine, shoulder, elbow, wrist, knee, and ankle. Conditions like osteoarthritis, tendinitis, and ligament sprains respond well to prolotherapy.
Mechanism of Action: Prolotherapy involves injecting an irritant solution, 15-20% dextrose, into the affected area. This solution stimulates the body’s natural healing response, promoting tissue repair and regeneration. The inflammatory response triggered by the injection helps strengthen and stabilize weakened or damaged tissues, as well as providing pain modulation to the area.
ALTERNATIVE MODALITIES
HYDRODISSECTION (HD) / PERINEURAL INJECTIONS
Indication: Hydrodissections/ perineural injections are used for treating myofascial dysfunction and nerve entrapment conditions. This technique is particularly beneficial for patients experiencing chronic pain, limited mobility, or nerve-related symptoms. Common areas treated include the fascia of the shoulder, back, and neck for myofascial dysfunction, peripheral nerves, such as the median and ulnar nerves, and occipital nerves experiencing entrapment, leading to headaches.
Mechanism of Action: Hydrodissections/ perineural injections involve the injection of a 5% dextrose solution between the fascial planes or around nerves. This creates a separation of tissues, reducing adhesions and relieving pressure on entrapped nerves. The fluid acts to mechanically release the fascia or nerve from surrounding structures, promoting improved mobility, reduced pain, and decreased nerve irritation, as well as promoting a reduction in inflammation and pain modulation, secondary to the effects of dextrose on tissues.
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TRIGGER POINT INJECTIONS (TPIs)
Indication: Trigger point injections (TPIs) treat painful muscle knots caused by overuse, injury, or stress. They are used for conditions like myofascial pain syndrome, tension headaches, and chronic neck, shoulder, or back pain.
Mechanism of Action: TPIs involve injecting a local anesthetic into trigger points to numb the area, break the pain cycle, and relax the muscle, as well as reduce inflammation. This improves blood flow, reduces tightness, and restores normal movement, providing lasting pain relief.
DUROLANE HYALURONIC ACID (HA)
Indication: Hyaluronic acids are used for the treatment of osteoarthritis-related joint pain, particularly in the knee, hip, and other synovial joints. They provide relief for patients with mild to moderate osteoarthritis.
Mechanism of Action: Hyaluronic acids are single-injection treatments that supplement the natural lubrication and cushioning of synovial fluid. Although not considered a regenerative injection, hyaluronic acids work to reduce friction, absorb shock, and improve joint mobility, leading to decreased pain and enhanced function to promote joint longevity.
HYDRODISTENTION FOR ADHESIVE CAPSULITIS (FROZEN SHOULDER)
Indication: Shoulder hydrodistention is used to treat adhesive capsulitis, commonly known as frozen shoulder. This condition involves inflammation and tightening of the joint capsule, leading to pain, stiffness, and a gradual loss of shoulder mobility. Hydrodistention is particularly beneficial for patients in the "frozen" or early "thawing" stages of the condition who have not improved with conservative treatments such as physiotherapy or oral medications.
Mechanism of Action: Hydrodistention involves the injection of a fluid mixture (typically 5% dextrose, local anesthetic, and sometimes corticosteroid) into the shoulder joint capsule under ultrasound guidance. The goal is to gently stretch and expand the tight capsule, breaking up adhesions and reducing inflammation. This procedure helps restore joint volume, reduce pain, and improve range of motion.
BOTOX FOR TMJ/ MASSETER
Indication: Botox is used to relieve pain and discomfort associated with temporomandibular joint (TMJ) disorders and masseter muscle hypertrophy. It can help with jaw tension, teeth grinding (bruxism), and associated headaches.
Mechanism of Action: Botox is injected into the masseter and/or temporalis muscles to temporarily relax them by blocking nerve signals that cause excessive contraction. This reduces muscle tension, alleviates jaw pain, and can also slim the jawline in cases of masseter hypertrophy.
BOTOX FOR MIGRAINE
Indication: Botox is used for the prevention of chronic migraines in adults who experience 15 or more headache days per month, with each lasting four or more hours. It is typically recommended for patients who have not found sufficient relief with other treatments, such as oral medications (e.g., beta-blockers, antidepressants, anticonvulsants), lifestyle modifications, or physical therapy. Botox may be an effective option for those who cannot tolerate or have contraindications to traditional migraine therapies.
Mechanism of Action: Botox is injected into specific areas of the head, neck, and shoulders to block pain signals and reduce muscle tension. This helps prevent migraine onset, decrease headache frequency, and alleviate associated symptoms.
"In my practice, I am dedicated to providing expert care in regenerative therapies. With ultrasound guidance and evidence-based techniques, I ensure accuracy and quality in the delivery of regenerative injections. My goal is to help patients regain their quality of life, return to sport, reduce pain, and enhance their overall well-being."
